Amy Elizabeth Dudley, | |
623 S Main St Ste 1, Moscow, ID 83843-2983 | |
(208) 882-2011 | |
(208) 883-1853 |
Full Name | Amy Elizabeth Dudley |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 623 S Main St Ste 1, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588028567 | NPI | - | NPPES |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Amy Elizabeth Dudley, Po Box 8007, Moscow, ID 83843-0507 Ph: (208) 883-2224 | Amy Elizabeth Dudley, 623 S Main St Ste 1, Moscow, ID 83843-2983 Ph: (208) 882-2011 |
Glenn David Rych, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Patricia N. Marciano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Dr. Matthew Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 Fax: 509-444-7806 | |
Dr. Jacques Maurice Bouchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 | |
Christopher Michael Standley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Helen Marie Shearer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Vicky M Lott, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 623 South Main Street, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |